Megan Clemence, NP-C
NPI 1457911281ActiveIndividual· Nurse Practitioner, Family· Clarkston, MI
Nurse Practitioner, Family (NP-C) with Clarkston Internal Medicine, P.C., practicing in Clarkston, Michigan. Their prescriptions cost Medicare Part D more than their services did: $658,784 for 6,413 claims, against $1,278 paid for services in 2024. Novo Nordisk Inc was the largest of 11 companies reporting payments in 2025, $937.49 in all, mostly food and beverage. Lists McLaren Oakland and 1 other hospital as hospital affiliations.
Overview
| NPI | 1457911281 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | NP-C |
| Sole proprietor | No |
| NPI issued | Jun 14, 2019 |
| Last updated in NPPES | Jul 29, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 4704313477 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Nurse Practitioner (MI) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 13 |
|---|---|
| Services billed | 18 across 7 procedure codes |
| Paid by Medicare | $1,278 |
Part D prescriptions in 2024
| Prescriptions (claims) | 6,413 · 14,964 30-day fills |
|---|---|
| Patients | 647 |
| Total drug cost | $658,784 |
| Generic share | 87% of claims |
Education and affiliations
| Graduation year | 2019 |
|---|---|
| Medicare specialty | Nurse Practitioner |
Medical group
- Clarkston Internal Medicine, P.C.Clarkston, MI · 4 clinicians
Hospital affiliations
- McLaren OaklandPontiac, MI
- Trinity Health Oakland HospitalPontiac, MI
Other facilities
- Residential Home Health and HospiceHome health agency · Lapeer, MI
Industry payments (Open Payments)
- 2025$937.49 · 50 payments from 11 companies
- 2024$479.06 · 26 payments from 14 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Novo Nordisk Inc | $324.14 | 18 |
| Lilly USA, LLC | $164.49 | 9 |
| Amgen Inc. | $119.00 | 6 |
| Glaxosmithkline, LLC. | $82.11 | 4 |
| Pfizer Inc. | $71.51 | 4 |
What the 2025 payments were for
- Food and Beverage$937.49 · 50 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 20 family nurse practitioners in Clarkston · All family nurse practitioners in Michigan